What if Baby Won Stay Asleep on Back

Are you lot struggling with infant sleep problems? opens in a new windowBaby sleep is dissimilar than adult slumber. A lot of the stuff that drives us crazy is developmentally normal behavior.

For instance, opens in a new windownewborns demand to feed frequently (viii-12 times every 24 hours), and the transition to longer, consolidated bouts of slumber is gradual. In general, we shouldn't expect babies to sleep for more than four-5 hours at a stretch until they are at least iii months old.

But that doesn't mean we can't improve things. On the contrary, at that place's a lot we can do.

Might your baby's sleep troubles be caused past a medical condition? That's possible, so yous might want to review these common opens in a new windowinfant medical problems that interfere with slumber.

But in this article we'll focus on other culprits — the everyday stumbling blocks on the path to easier, more restful nights.

Here is a list of 10 things that might be going wrong, and what you tin do most them.

At the cease, I talk near that controversy that every new parent faces — the "cry it out" controversy — and and then I sum things up with a checklist of good practices for avoiding baby slumber issues.

one. Not drowsy at bedtime? Information technology might exist because your baby's internal clock is out of sync with the 24-hour day.

Beginning things first: Does your baby appreciate that dark is for sleeping? If not, you're fighting an uphill boxing.

Most infants don't develop potent, hormonally-driven circadian rhythms until they are 12 weeks quondam, and some babies take considerably longer (Jenni and Carskadon 2005; Jenni et al 2006).

You might assume that this is one of those developmental things we just have to wait out. Simply that's not quite true. The bear witness suggests we have help immature babies attune themselves faster. If we lay the right groundwork early on, nosotros may avert some infant sleep bug later on.

Be sure to try these tactics:

• Back up your baby's tendencies to wake up at the aforementioned time each morning, and expose your babe to daylight during the morning and afternoon.

• Include your babe in everyday activities. The hustle and bustle of social life helps prepare your infant's inner clock.

• Avoid exposure to artificial lights before and during bedtime — peculiarly LED lights and other light sources that feature light from the bluish part of the spectrum.

Experiments testify that blue lite is peculiarly effective at blocking the brain's production of melatonin, a hormone that promotes sleepiness. A little exposure to blue light tin can delay sleepiness for an hour or more. And information technology affects adults every bit well every bit children!

You can read more nigh artificial lighting — and how to cope with it — in opens in a new windowthis Parenting Science commodity virtually the furnishings of light-emitting entertainments and devices. Tackling bluish light exposure tin amend the slumber of anybody in your family, then it's worth taking seriously.

For more tips, see "How to help baby accommodate to the 24-hour day" in my commodity about opens in a new windownewborn slumber.

ii. Volition your baby sleep when he or she is hungry? Probably not.

This is one reason why newborns sleep in short bouts. They get hungry!

What can we do about it? Not much, not when our babies are very young. They need frequent feedings in order to grow and thrive.

But you tin can probably improve your own ability to sleep with smart timing.

Dream feeding is a technique in which you lot provide your baby with a large meal immediately before you lot attempt to fall asleep for yourself. The idea to help your baby "tank upwards," so your baby (and you) will sleep longer.

Another tactic is to introduce brief delays before commencement those middle-of-the-night feeds. For instance, instead of feeding your infant immediately, yous might change your infant's diaper commencement. As babies become older, this might help them pause the clan between night wakings — which all babies experience — and feeding.

Do these tactics piece of work? One experimental written report suggests they do.

Researchers recruited 26 families, and assigned half the parents to offer their babies a big repast between 10pm and midnight. They were likewise told to avoid feeding babies immediately subsequently they woke up during the dark.

In addition, parents were instructed to expose their babies to strong cues well-nigh the natural, 24 hour day.

The intervention appeared to be very successful. Eight weeks afterward training began, 13 out of 13 infants in the handling grouping were sleeping quietly from midnight to 5am (Pinilla and Birch 1993). But iii out of 13 command infants were doing so.

It sounds promising, but go on in heed: This is a minor study that needs replication.

Moreover, the study blueprint doesn't permit us to tell which of the interventions were important, and nosotros don't know if the effect was long-lasting. It's also unclear if going 5 hours without feeding is in the all-time interest of every 8-calendar week one-time infant.

But as long as your baby is getting enough food and fluids — and your pediatrician approves — these tactics are worth trying. For more data about nursing young babies, run across this Parenting Science commodity about opens in a new windowfeeding infants on cue.

And if you are interested in trying out dream feeding, check out my opens in a new windowshow-based guide to dream feeding.

3. Do you know how to calm your babe earlier bedtime?

Inquiry suggests that some parents make the 60 minutes leading upward to bedtime too exciting, and this could make it harder for babies to nod off.

Rambunctious play and energetic talk can rev upward your baby's sympathetic nervous organisation—the system in charge of keeping him or her alarm.

In addition, research suggests that screen time could cause problem. In a recent survey of 715 British parents, researchers found that babies who spent time playing with touch on screens (on phones and other devices) took longer to autumn asleep at nighttime.

These babies also had shorter nocturnal sleep times. For every additional hr that an infant used touch screens, the infant was likely to sleep 26 minutes less at night (Cheung et al 2017).

Then researchers recommend that parents make the last 2-iii hours before bedtime serenity and calm (e.1000., Coat 2004).

Just exciting interpersonal activities aren't the only sources of problem. In a recent survey of 715 British parents, researchers establish that babies who spent time playing with touch screens (on phones and other devices) took longer to fall comatose at dark.

These babies too had shorter nocturnal sleep times. For every boosted 60 minutes that an infant used impact screens, the baby was likely to sleep 26 minutes less at dark (Cheung et al 2017).

The researchers didn't collect information about when babies used bear on screens, and can't say for sure if touch on screen use contributes to infant slumber bug.

But the bluish calorie-free emitted by tablets and other electronic devices is opens in a new windowknown to filibuster drowsiness. So information technology's plausible that this blue calorie-free, and the stimulating nature of media content, are to blame.

What should nosotros do?

It makes sense to be cautious near screen time. Information technology's besides a practiced thought to avoid excitement in the evening (e.g., Glaze 2004), and to consider introducing a soothing bedtime routine (see below).

4. Is irregular timing — or a lack of routine — is making information technology harder for your babe to settle downwardly?

Young children may sleep longer at dark when they discover regular bedtimes (Staples et al 2015).

Research also suggests that children fall asleep faster, and spend less time awake at nighttime, when their parents implement a consistent bedtime routine at night — like bathing, quietly dressing for bed, and reading a bedtime story (Mindell et al 2015).

So if yous're struggling with infant sleep issues, it'southward worth introducing a bedtime routine. Indeed, in one experimental report, parents improved infant sleep problems later on introducing bedtime routines (Mindell et al 2009).

But are regular bedtimes really necessary to avoid sleep trouble?

Cross-cultural studies suggest otherwise. In many parts of the earth bedtimes are fluid or irregular, and babies get to sleep without fanfare (e.g., Morelli et al 1992; Ottaviano et al 1996).

Indeed, it's the norm among hunter-gatherer societies — the peoples whose life-ways almost closely resemble those of our ancestors. And hunter-gatherers are remarkable for their lack of slumber complaints (Yetish et al 2015; Samson et al 2017).

It's evident, then, that there is more than one manner to achieve salubrious sleep patterns. But earlier you conclude that anything goes, keep in mind these crucial points.

First, irregular bedtimes can cause trouble if they lead to irregular morning wake-up times.

If y'all wake up at different times each morning, it tin disrupt your circadian rhythms. Possibly that's why anthropologists have observed morning regularity among hunter-gatherers: They tend to go up at the same fourth dimension each morning time regardless of when they fell asleep the night earlier (Yetish et al 2015).

Second, babies might go less sleep at night — a deficit they'll need to make upwardly during the day.

This isn't perceived as a problem in many traditional societies, where babies are expected to take short daytime naps while being carried in a sling. Parents, as well, may sometimes take naps to compensate for a brusk night'southward sleep (Worthman and Melby 2002; Samson et al 2017).

But you lot? If your schedule doesn't allow this flexibility, irregular bedtimes could go out yous brusk-changed.

So it actually isn't anything goes. Babies and adults alike benefit from waking upwards at the same time each morning, then that's something to aim for. And when irregular bedtimes lead to shorter nighttime sleep bouts, be prepared to make up for lost sleep during the day.

five. Is your baby'southward bedtime is also early? Or besides late?

When should babies go to bed? It can be hard to figure out.

Some parents overestimate infant sleep requirements, or try to force bedtime on an infant that isn't sleepy.

That's bad for a couple of reasons. In the brusk-term, the baby resists bedtime, and everyone is unhappy. In the long-term, your child is learning to associate bedtime with the failure to fall asleep. It could be a recipe for developing bedtime resistance and insomnia (LeBourgeois et al 2013).

Other parents proceed their babies awake likewise long, making their babies irritable.

It can be an easy mistake to make, particularly if your baby seems very active and energetic.  Isn't that proof that your baby isn't yet ready for sleep?

Maybe, only there is another possibility: Your baby might be hyper-reactive or "overtired." If and so, you're baby'due south beliefs is deceptive: He'south not warning because he's well-rested. He's alert because his stress response system is stuck on high gear.

What to do? If yous're uncertain, review these opens in a new windowsigns of babe tiredness, and consult this Parenting Science article about the range of slumber times observed in normal, healthy babies. Information technology will assistance you home in on your baby's needs.

And then, if yous doubtable your babe's bedtime is besides early, try these opens in a new windowgentle infant sleep preparation solutions. They are safe to utilize, and don't involve any "cry it out" tactics.

If overtiredness is the trouble, pick an earlier bedtime, and assist your infant wind down by introducing some soothing, low-primal bedtime rituals. For tips, see my commodity about opens in a new windowsolving bedtime bug.

six. Are you as well quick to intervene when you think your infant has awakened?

Babies sometimes brand noises–and may even cry out–when they are nevertheless asleep or merely partially aroused. In other words, babies are "sleep talkers."

So information technology's piece of cake for newbies to brand a crucial mistake — assuming that a babe is awake and signalling for attention when she's really but sleeping in a fitful, noisy manner.

If you lot intervene under these conditions — touch and talk to your baby — you may exist doing the very thing you lot most want to avoid: Waking upwards a sleeping infant!

That's one reason to be cautious before interacting with your babe. And here'southward another:

Video recordings of sleeping infants reveal that babies as young as 5 weeks can spontaneously resettle themselves after waking up in the middle of the night (St. James Roberts et al 2015).

During the written report in question, babies sometimes went back to sleep quietly. In other cases, the infants cried or fussed briefly (for most 1 minute) before going back to slumber on their ain (St. James Roberts et al 2015).

But either way, these babies fell back to slumber on their own, without coaching or marked distress. That'southward the sort of thing you lot want to promote.

So intervening too before long can backfire. You lot think you are beingness proactive, responding quickly and then your baby will be able to go dorsum to sleep quickly. Just instead you are enkindling a sleeping baby, or interfering with a drowsy baby who was about to nod off. Ouch.

To avoid becoming the cause of infant sleep problems, don't jump in at the first signs of movement or noise.

7. Are yous making those heart-of-the-dark care sessions besides interesting?

Nosotros've seen how too much stimulation tin can crusade trouble at bedtime. Parents tin likewise cause baby sleep problems by creating besides much excitement after a baby has awakened during the dark.

opens in a new windowBabies are social creatures, and are easily stimulated by talk and other forms of advice.

And then if you desire your baby to go back to sleep quickly, avoid engaging him or her in conversation or play. Equally you tend to your babe's nighttime needs, keep things comforting, just dull and serenity. And don't forget to avoid those artificial lights. Keep things as nighttime as possible.

8. Are you being inconsistent in the way you respond to your infant?

Information technology's easy to get off-track when you lot are frustrated or tired.

Sometimes y'all might apply overly-stimulating soothing techniques. Other times — when information technology seems that nothing works — you might withdraw from your baby altogether (France and Blampied 1999). It's human nature, only it's disruptive for the baby, and it can brand infant sleep issues worse.

To assistance avoid this scenario, accept the time to create a single, consistent approach to your infant sleep bug.

Research opens in a new windowthe science of infant sleep patterns, and decide what approach is best for you and your baby.

Thinking things through ahead of time will help you stick to the plan, and may have additional psychological benefits for you lot.

Parenting studies suggest that getting informed can boost your sense of competence and conviction, and protect you from feelings of frustration and despair (Heerman et al 2017).

ix. Is your baby is napping too late in the afternoon?

Sleep pressure (the physiological urge to sleep) builds up the longer we've been awake. Then it shouldn't surprise us if a babe — having awakened from a long nap only a couple of hours before — has problem falling asleep at bedtime.

If this seems to exist the trouble, endeavour extending the concluding waking menses of your baby's 24-hour interval.

That may seem hard to do if you've got a drowsy babe at 5pm; but remember, you lot don't have to go far at the perfect schedule all at one time.

You can work towards the goal in steps, trying to make the last nap of the day terminate at an increasingly before time over the class of a week or so.

When parents have managed to lengthen waking time before bedtime, their babies have required less aid settling down and experienced fewer baby sleep problems (Skuladottir et al 2005).

10. Does your baby know how to self-soothe?

Sleep science has proven the point: Everybody wakes up during the night, and we do information technology quite ofttimes, fifty-fifty if we don't remember these wakings the next day.

And so eliminating nighttime wakings isn't a realistic goal. Rather, we should focus on making night wakings less disruptive.

As mentioned to a higher place, research shows that babies sometimes resettle themselves without becoming stressed or waking up other people. What tin can we do to promote this beliefs?

One crucial tactic, noted in #4, is to terminate undermining these spontaneous acts of re-settling. Don't jump in prematurely. Your baby might actually be asleep, or on the verge of falling back to sleep on his or her own. Past intervening too soon, you can create infant sleep problems.

Only tin can we go further?

In some Western countries parents are brash to avoid soothing their babies to sleep.

For instance, Richard Ferber argues that parental soothing trains babies to acquaintance sleep with parental intervention (Ferber 2006). Equally a effect, children don't develop their own, self-soothing abilities. When babies wake up during the dark (and all babies exercise), they cry until their parents come to their assistance.

The remedy, according to this argument is to follow sure rules. Don't let the baby fall comatose in your arms. Instead, at bedtime, put your baby to bed before he or she has fallen asleep.

What does the research tell us? When babies fall asleep at the chest–or are put to bed after they take fallen comatose–babies are less probable to soothe themselves back to sleep when they awaken over again during the dark (e.one thousand., Anders 1979; Anders et al 1992; Ferber 1986; Goodlin-Jones et al 2001).

In improver, researchers take establish that parents who feed, hold, or rock their babies to sleep tend to report more night wakings (Anuntaseree et al 2008; Mindell et al 2010).

That sounds like prove in support of reduced parental soothing at bedtime. But there's an obvious  complication:  Babies often weep or protest when caregivers withdraw.

Information technology's a natural behavior. Throughout homo history, babies have stayed in close proximity to their caregivers. Being left alone meant something was wrong. A baby was at risk for neglect, abandonment, or predation (Hrdy 1999).

And so information technology's little wonder that our ancestors evolved emotional and behavioral responses to separation — responses that would aid ensure that babies stayed close (Panksepp 1998). What, so, should we practice when babies cry?

Ferber has proposed opens in a new windowhis own solution, which is to go out the infant alone for increasingly lengthy intervals, ignoring cries, until the babe learns to give up (Ferber 2006).

It's not intended for very young babies. Researchers warn that such sleep training should not exist attempted until infants are at least half-dozen months old (Owens et al 1999; France and Blampied 1999).

Moreover, the American Academy of Pediatrics recommends that parents share a bedroom with their babies for at least six months later birth because information technology may lower the risk of SIDS and "facilitate…comfort and monitoring of the babe" (Moon et al 2016).

Only when it comes to making nighttime less confusing, this method — called "graduated extinction" — has a successful track record. Babies get less likely to cry in the middle of the nighttime when they awaken. Parents report fewer infant slumber problems.

This tin be a relief to desperate parents. But many people pass up the approach. Information technology'south stressful to implement, and critics worry near the possible effects of enforcing its central features — (1) babies left alone, unable to perceive the immediate presence of caregivers, and (two) parents acting as if they are insensitive to the baby'south distress.

Major media headlines to the opposite, studies oasis't yet supplied us with strong bear witness about these concerns.

Do "cry it out" tactics cause bug?

One highly-publicized study tested the long-term furnishings of sleep training on more 170 babies, only did and then by lumping together several unlike preparation strategies, including a program that didn't involve leaving infants alone (Price et al 2012).

Thus, nosotros tin't know if families who used graduated extinction experienced different outcomes than families who used other methods — similar those that kept babies and parents together in the same room.

In add-on, this study failed to determine if parents in the control group attempted slumber training. This, also, is crucial, considering it means nosotros tin can't draw conclusions nigh a failure to detect differences between groups.

Possibly outcomes were similar because treatments were similar: Babies in both groups were exposed to a mixed bag of sleep grooming techniques.

A more recent study presents similar interpretative bug (Grandisar et al 2016). The researchers took the helpful step of distinguishing between graduated extinction and other types of sleep training.

Just they didn't measure what parents assigned to the command condition did with their babies. Nor did they go along track of where babies slept with respect to their parents — alone or in a shared room.

Moreover, this was a much smaller study, and ane marked by substantial amounts of missing data, equally well as some discrepancies in the published numbers.

For example, at ane fourth dimension indicate during the written report, almost half the families failed to participate. Researchers filled in the missing data with their own estimates (Grandisar, personal communication).

And information technology's interesting to reflect on results that the pop printing largely ignored.

The researchers tested for attachment security at the end of the report, and found that just vii out of 13 (54%) of "graduated extinction" babies were scored as securely attached to their parents. By contrast, babies in the control group fared a bit meliorate: 5 out of 8 babies (62%) were scored as securely attached.

Nosotros can't draw any conclusions from this deviation. The sample sizes are also small, and six families chose not to participate in this final test, which may have biased the results.

For example, what if having a securely-attached baby made parents more than inclined to participate? Or less inclined? But it underscores the difficulty in making inferences from small studies with missing data.

And so as I write this in May 2017, we're however a long way from settling questions about the effects of graduated extinction, particularly for parents concerned about leaving babies alone and unable to perceive the presence of caregivers.

That's important because there are other approaches of sleep grooming that don't involve leaving babies alone, and these approaches have similarly successful rails records. You can read about these methods in my article, "Gentle infant sleep grooming."

Furthermore, scientific surveys betoken that babies don't have to sleep in their ain rooms to develop quieter sleep habits.

In places like Hong Kong, babies and children often share a room with others.  In many cases, they share a bed with a parent. But researchers have institute no links between slumber location and night wakings (Yu et al 2017).

It appears to be the use of active soothing measures — similar feeding or rocking a babe to sleep — that is linked with trouble. Not necessarily parental presence.

So if you want to encourage your babe to self-soothe, information technology'southward worth taking a wait at opens in a new windowthese sleep training alternatives to graduated extinction.

And continue in heed the work of Douglas Teti, who has establish that one of the most important predictors of babe sleep problems is whether or not parents are emotionally available at bedtime — responding with sensitivity to a baby's needs, and projecting a calm, reassuring mood (Teti et al 2010).

Regardless of whatever else you might practise, and any sleep arrangements you lot adopt, maintaining emotional availability at bedtime tin can assist your baby settle downward.

Putting it all together: A checklist for coping with infant sleep bug

• Establish regular twenty-four hours-time cues. Make sure your infant is exposed to natural daylight and daytime activity. Include baby in the daily hustle and bustle.

• Plant regular nighttime-time cues. Equally bedtime approaches, shift down from stimulating activities to more passive, sleepy, sedate activities. Dim the lights. And consider introducing special bedtime rituals, like reading bedtime stories or singing lullabies.

• Tank up before bedtime. Equally noted above, babies may sleep for longer stretches at nighttime if you feed them soon before bedtime.

• Go along your nighttime interactions calm and depression-cardinal. Be responsive, merely boring. Avoid making dissonance, avoid moving your baby around, and avoid center contact. Some infant sleep bug are caused by parents making too much of a fuss.
• Watch out for intervening too quickly when you think your baby has awakened. You lot might stop up enkindling a sleeping baby, or preventing your baby from falling dorsum to sleep spontaneously.

• If your baby is over 6 months onetime, consider these opens in a new windowgentle sleep preparation programs. Considering they don't require babies to fall asleep alone, they minimize distress for both parents and infants.

• If yous're worried about a possible medical problem, or something merely doesn't seem correct, talk to your physician. Virtually infant sleep problems aren't caused by medical conditions, but some are. Read more about it opens in a new windowhither.

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References: Infant slumber problems

Adams LA and Rickert 6. 1989. Reducing bedtime tantrums: Comparing between positive bedtime routines and graduated extinction. Pediatrics 84(5): 756-761.

Anders TF. 1979. Night waking in infants during the first twelvemonth of life. Pediatrics 63: 860-864.

Anders TF, Halpern LF, and Hua J. 1992. Sleeping through the night: A developmental perspective. Pediatrics 90(four): 554-560.

Anuntaseree W, Mo-suwan L, Vasiknanonte P, Kuasirikul S, Ma-a-lee A, Choprapawan C. 2008. Night waking in Thai infants at iii months of historic period: association between parental practices and infant sleep. doi: 10.1007/s12519-017-0025-6. [Epub ahead of print]

Cheung CH, Bedford R, Saez De Urabain IR, Karmiloff-Smith A, Smith TJ. 2017. Daily touchscreen use in infants and toddlers is associated with reduced sleep and delayed sleep onset. Sci Rep. 13;7:46104.

Fauroux B. 2007. What'due south new in paediatric sleep? Paediatr Respir Rev. 8(1):85-9.

Eckerberg B. 2004. Treatment of sleep issues in families with young children: effects of treatment on family well-being. Acta Paediatr. 93(1):126-34.

Ferber R. 1986. Sleepless child. In: C. Guilleminault (ed), Sleep and its disorders in children. New York: Raven Press, pp. 1410163.

Ferber R. 2006. Solving your child's sleep problems: New, revised, and expanded edition. New York: Fireside.

Ferber SG, Laudon Thou, Kuint J, Weller A, Zisapel Northward. 2002. Massage therapy by mothers enhances the adjustment of cyclic rhythms to the nocturnal menses in total-term infants. J Dev Behav Pediatr. 23(half-dozen):410-five

France KG. 1992. Beliefs characteristics and security in sleep disturbed infants treated with extinction. J Pediat Psychol 17: 467-475.

France KG and Blampied NM. 1999. Infant slumber disturbance: Description of a trouble behaviour process. Sleep Medicine Reviews 3(4): 265-280.

Coat DG. 2004. Childhood insomnia: Why Chris tin can't sleep. Pediatric Clin North Amer 51: 33-50.

Goodlin-Jones BL, Burnham MM, Gaylor EE, and Anders TF. 2001. Night-waking, slumber organization, and self-soothing in the first year of life. J Dev Behav Pediatrics 224(6): 226-233.

Grandisar Yard, Jackson One thousand, Spurrier NJ, Gibson J, Whitham J, Sved Williams A, Dolby R, Kennaway DJ. 2016. opens in a new window Behavioral Interventions for Infant Sleep Problems: A Randomized Controlled Trial. Pediatrics 137(6).

Heerman WJ, Taylor JL, Wallston KA, Barkin SL. 2017. Parenting Self-Efficacy, Parent Depression, and Healthy Childhood Behaviors in a Depression-Income Minority Population: A Cross-Sectional Analysis. Matern Child Health J. 2017 January 13. doi: 10.1007/s10995-016-2214-7. [Epub ahead of print]

Hrdy SB. 1999. Female parent nature: Maternal instincts and how they shape the human species. New York: Pantheon Books.

Jenni OG and Carskadon MA. 2005. Normal human sleep at different ages: Infants to adolescents. In: SRS Basics of Slumber Guide. Westchester, Illinois: Sleep Inquiry Order, pp. 11-nineteen.

Jenni OG, DeBoer T, and Acherman P. 2006. Development of the 24h rest-activity pattern in human infants. Babe behavior and development 29: 143-152.

LeBourgeois M, Wright, Jr., KP, LeBourgeois OP, Jenni OG. 2013. Dissonance Between Parent-Selected Bedtimes and Young Children's Circadian Physiology Influences Dark Settling Difficulties. Mind, Brain, and Education 7(4): 234-242.

Levesque BM, Pollack P, Griffin BE and Nielsen HC. 2000. Pulse oximetry: What'due south normal in the newborn nursery? Pediatric pulmonology xxx(five): 406-412.

Luddington-Hoe SM, Cong X, and Hashemi F. 2002. Infant crying: nature, physiologic consequences, and select interventions. Neonatal Network 21(2): 29-36.

McKenna JJ and McDade T. 2005. Why babies should never slumber lonely: A review of the co-sleeping controversy in relation to SIDS, bedsharing and breast feeding. Paediatric Respiratory Reviews (2005) six, 134–152.

Mindell JA, Kuhn B, Lewin DS, Meltzer LJ, Sadeh A and the American University of Sleep Medicine. 2006. Behavioral treatment of bedtime issues and dark wakings in infants and young children. Slumber 29: 1263-1281.

Mindell JA, Li AM, Sadeh A, Kwon R, Goh DY. 2015. Bedtime routines for immature children: a dose-dependent association with sleep outcomes. Sleep. 38(5):717-22.

Mindell JA, Telofski LS, Wiegand B, Kurtz ES. 2009. A nightly bedtime routine: impact on slumber in young children and maternal mood. Slumber. 32(5):599-606.

Mitchell EA, Thompson JMD. 2003. Snoring in the first year of life. Acta Paediatrica, 92(four), 425-429.

Morelli GA, Rogoff B, Oppenheim D, and Goldsmith D. 1999. Cultural variation in infants' sleeping arrangements: Questions of independence. Developmental Psychology 28: 604-613.

Ottaviano S, Giannotti F, Cortesi F, Bruni O, Ottaviano C. 1996. Slumber characteristics in good for you children from birth to 6 years of age in the urban area of Rome. Sleep nineteen: 1-3.

Panksepp J. 1998. Affective Neuroscience: The Foundations of Man and Beast Emotions. New York: Oxford Academy Press.

Pinilla T and Birch LL. 1993. Help me make it through the night: behavioral entrainment of breast-fed infants' sleep patterns. Pediatrics. 91(ii):436-44.

Philbrook LE, Hozella Air-conditioning, Kim BR, Jian North, Shimizu 1000, Teti DM. 2014. Maternal emotional availability at bedtime and infant cortisol at 1 and 3 months. Early Hum Dev. xc(x):595-605.

Toll AMH, Wake M, Epi GD, Ukoumunne OC, Hiscock H, Epi GD. 2012. 5-Year Follow-upwardly of Harms and Benefits of Behavioral Infant Sleep Intervention: Randomized Trial. Pediatrics. 130(4):643-51.

Owens JL, France KG, and Wiggs L. 1999. Behavioural and cognitive-behavioural interventions for sleep disorders in infants and children: A review. Sleep Medicine Reviews 3(4): 281-302.

Pantley Eastward. 2002. The no-cry sleep solution: Gentle ways to assist your baby sleep through the night. New York: McGraw-Hill.

Reid MJ, Walter AB, and O'Leary SG. Treatment of young children'due south bedtime refusal and nighttime wakings: A comparison of "standard" and graduated ignoring procedures. Journal of Aberrant Child Psychology 27: 5-sixteen.

Sadeh A. 1994. Assessment of intervention for babe night waking: Parental reports and activity-based habitation monitoring. J Consult Clin Psychol 62(1):63-8

Samson DR, Crittenden AN, Mabulla IA, Mabulla AZ, Nunn CL. 2017. Hadza sleep biology: Prove for flexible sleep-wake patterns in hunter-gatherers. Am J Phys Anthropol. 162(iii):573-582.

Sears W and Sears G. 1996. The fussy baby book: Parenting your high-need child from birth to age 5. New York: Niggling, Brown and Company.

Skuladottir A, Thome M, and Ramel A. 2005. Improving solar day and nighttime sleep issues in infants by changing day time sleep rhythm: A single group before and afterwards study. Int J Nurs Stud. 42(viii): 843-850.

Staples Advertizing, Bates JE, and Petersen IT. 2015. 9. Bedtime routines in early childhood: prevalence, consistency, and associations with nighttime sleep. Monogr Soc Res Kid Dev. 80(one):141-59.

Teti DM, Kim BR, Mayer G, Countermine M. 2010. Maternal emotional availability at bedtime predicts infant slumber quality. J Fam Psychol. 2010 Jun;24(3):307-fifteen

Worthman CM and Melby M. 2002. Toward a comparative developmental ecology of human sleep. In: Adolescent Sleep Patterns: Biological, Social, and Psychological Influences, Thousand.A. Carskadon, ed. New York: Cambridge University Press, pp. 69-117.

Yetish G, Kaplan H, Gurven G, Wood B, Pontzer H, Manger PR, Wilson C, McGregor R, Siegel JM.2015. Natural sleep and its seasonal variations in three pre-industrial societies. Curr Biol. 25(21):2862-8.

Yu XT, Sadeh A, Lam HS, Mindell JA, Li AM. 2017. Parental behaviors and sleep/wake patterns of infants and toddlers in Hong Kong, Red china. World J Pediatr. 2017 Mar 22. (epub ahead of impress)

Portions of this text are derived from an earlier (2008) Parenting Science article with the same championship, "Infant sleep problems: an bear witness-based guide."

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Source: https://parentingscience.com/infant-sleep-problems/

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